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Titolo:
RECURRENCE OF HEMIFACIAL SPASM AFTER MICROVASCULAR DECOMPRESSION
Autore:
PAYNER TD; TEW JM;
Indirizzi:
UNIV CINCINNATI,COLL MED,DEPT NEUROSURG,EDITORIAL OFF,231 BETHESDA AVE,POB 670515 CINCINNATI OH 45267 UNIV CINCINNATI,COLL MED,DEPT NEUROSURG,EDITORIAL OFF CINCINNATI OH 45267 MAYFIELD NEUROSURG INST CINCINNATI OH 00000 CHILDRENS HOSP,MED CTR CINCINNATI OH 45229 INDIANAPOLIS NEUROSURG GRP INDIANAPOLIS IN 00000
Titolo Testata:
Neurosurgery
fascicolo: 4, volume: 38, anno: 1996,
pagine: 686 - 690
SICI:
0148-396X(1996)38:4<686:ROHSAM>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
MICRO-VASCULAR DECOMPRESSION; POSTERIOR-FOSSA SURGERY; FACIAL-NERVE; MICROSURGICAL TREATMENT; COMPRESSION;
Keywords:
HEMIFACIAL SPASM; MICROVASCULAR DECOMPRESSION; RECURRENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
28
Recensione:
Indirizzi per estratti:
Citazione:
T.D. Payner e J.M. Tew, "RECURRENCE OF HEMIFACIAL SPASM AFTER MICROVASCULAR DECOMPRESSION", Neurosurgery, 38(4), 1996, pp. 686-690

Abstract

THE SUCCESS OF medical and surgical treatment for hemifacial spasm, an involuntary paroxysmal unilateral contraction of the facial muscles,has been mixed. Although microvascular decompression has the greatestreported success, symptom recurrence affects many patients in whom treatment was initially successful. In this study, we report the resultsof 34 patients who underwent microvascular decompression of the facial nerve from 1976 to 1989 as well as review the literature concerning the incidence and timing of recurrence in more than 600 patients who underwent microvascular decompression. In this series, 94% of 34 patients had continuous relief of spasm after surgical treatment (mean duration, >6 yr). Of those patients whose spasms were completely initially relieved, 10.3% developed some degree of recurrent spasm; however, no patient developed a recurrence after 24 months without spasm. Our review of the literature discloses that 86% of all recurrences occurred within 2 years of surgery. Patients who have no recurrence of symptoms 2years after surgical treatment have only a 1% chance of developing recurrent hemifacial spasm. We also comment on possible causes of treatment failure and recurrence of hemifacial spasm after surgical treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 18:32:47